| Regimental number | 67654 |
| Place of birth | Newcastle New South Wales |
| Religion | Methodist |
| Occupation | Miner |
| Address | 45 Booth Street, Balmain, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs S Liversidge, 45 Booth Street, Balmain, Sydney, New South Wales |
| Enlistment date | 22 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 26 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Fate | No details of fate entered on Nominal Roll |
